Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arizona (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Orthoarizona Scottsdale Asc, LLC (NPI 1730783523)

Field	Value
Entity Type	Organization
Organization	Orthoarizona Scottsdale Asc, LLC
Address	8405 N Pima Center Parkway, Suite 102
City	Scottsdale
State	AZ
ZIP	85258
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	November 23, 2020

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

Key Findings

This facility is registered as an Ambulatory Surgical Clinic/Center and its Medicare billing mix is concentrated in orthopedic joint replacement and spinal device work: the top three Medicare codes are 27447 (knee arthroplasty, $505.4K revenue, 22.2% of Medicare revenue), 27130 (hip arthroplasty, $385.8K revenue, 16.9%), and 63685 (spinal neurostimulator pulse generator, $229.7K revenue, 10.1%). The presence of both major joint arthroplasty codes and high‑dollar spinal device implantation ($19142 avg paid/claim for 63685) indicates an ASC that handles complex same‑day or short‑stay orthopedic and spine procedures alongside device implantation services.

Revenue concentration is material: the precomputed top‑3 Medicare codes account for 49.2% of the provider's total Medicare revenue. While that concentration is driven by two large arthroplasty codes (27447 and 27130) and one high‑unit‑value spinal implant code (63685), the broader code list shows numerous lower‑value but high‑volume injection and hand‑surgery services supporting the remainder of the $2.3M in Medicare revenue.

Payer mix is effectively single‑payer at the claim level: Total Medicare revenue is $2.3M and there is no Medicaid billing on file. This provider operates without recorded Medicaid activity, so Medicaid does not contribute to its reported revenue mix.

Competitive standing for its largest joint replacement services is above median but not dominant: 27447 ranks #1862 of 12089 providers nationally (84th percentile) and 27130 ranks #1285 of 8062 (83th percentile), both labeled as "typical, unremarkable volume for this code." These percentiles indicate the ASC performs more joint replacements than most peers but does not rank as a top regional or national leader for arthroplasty volume.

The spinal neurostimulator work (63685) shows a different competitive posture: 63685 ranks #1012 of 1281 providers nationally (11th percentile) with the characterization "typical, unremarkable volume for this code," signaling that while neurostimulator implants contribute meaningful revenue ($229.7K), the provider is relatively uncommon among the smaller group of national implanting centers and does not appear to be a major national implant hub.

The practice demonstrates unusually high activity in certain outpatient hand and injection procedures: 64721 (carpal tunnel release) is an extreme outlier, far above typical national volume (rank #25 of 3206, 99th percentile) and 26055 (trigger finger release) is likewise an extreme outlier (rank #26 of 2946, 99th percentile). Injections and facet/joint procedures are also well above typical national volume—examples include 64483 (rank #204 of 8202, 98th percentile), G0260 (rank #32 of 967, 97th percentile), and 64493 (rank #283 of 7519, 96th percentile)—supporting a mixed model of surgical and high‑volume pain management services.

Operationally, the provider’s revenue mix pairs high‑unit‑value episodes with many lower‑paid but high‑count services: arthroplasty averages are $7118 (27447) and $7145 (27130) per claim while selected injections and hand procedures average in the low hundreds per claim. This combination suggests the ASC captures revenue both from episodic, device‑intensive surgeries and from recurring, image‑guided injections and outpatient hand surgeries that drive steady caseload.

The NPI tenure is relatively recent: NPI enumerated 2020-11-23 (~6 years ago). Given that timeframe, the provider has established a $2.3M Medicare revenue footprint and achieved unusually high national standing on several outpatient procedure codes within a few years of enumeration.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	70	$7,120	$505.4K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	50	$7,150	$385.8K
63685	The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…	10	$19,140	$229.7K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	40	$3,800	$144.6K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	490	$290	$142.4K
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	20	$6,880	$117K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	180	$590	$107.7K
26055	Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…	180	$480	$85.1K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	110	$650	$73.6K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	260	$270	$68.4K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Orthoarizona Scottsdale Asc, LLC — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	54	70	20	$10,020	$200.4K
63650	41	70	40	$2,040	$116K
27446	15	20	20	$2,210	$59.6K
27447	57	290	40	$1,290	$59.3K
27130	45	210	30	$1,270	$45.7K
64483	12	250	90	$210	$31K
64635	36	210	60	$390	$30.3K
28750	6	10	20	$1,410	$28.2K
29827	33	100	20	$1,020	$25.4K
64721	4	70	40	$440	$23.5K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Orthoarizona Scottsdale Asc, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Honorhealth	AZ	General Acute Care Hospital	$0	$107.2M
Honorhealth	AZ	General Acute Care Hospital	$0	$65.7M
Honorhealth	AZ	General Acute Care Hospital	$0	$47M
Honorhealth	AZ	General Acute Care Hospital	$0	$23.8M
Honorhealth Medical Group, LLC	AZ	Family Medicine Physician	$0	$10.1M
Honorhealth	AZ	General Acute Care Hospital	$0	$8M
Honorhealth	AZ	General Acute Care Hospital	$0	$7.4M
Honorhealth Ambulatory	AZ	Cardiovascular Disease Physician	$0	$6.8M
Honorhealth Urgent Care, LLC	AZ	Urgent Care Clinic/Center	$0	$6M
Scottsdale Surgical Partners LLC	AZ	Ambulatory Surgical Clinic/Center	$3.1M	$1.1M

Nearby Providers

Other providers in the same ZIP code as Orthoarizona Scottsdale Asc, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dependable Nurses Of Phoenix, LLC	AZ	Home Health Agency	$0	$49.4M
Community Medical Services Montana-private, LLC	AZ	Addiction (Substance Use Disorder) Counselor	$0	$43.2M
Scottsdale Physicians Group Plc	AZ	Internal Medicine Physician	$0	$17.7M
Desert Tranquility Integrated Wellness Services LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.8M
Arizona Pulmonary Specialists Ltd	AZ	Pulmonary Disease Physician	$0	$15.1M
Scottsdale Recovery Ii, LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$13.7M
Arbor Medical Partners, LLC	AZ	Pediatrics Physician	$0	$12.7M
Purpose Healing Center, LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.5M
Purpose Healing Center, LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.1M
Texan Urgent Care PLLC	AZ	Emergency Medicine Physician	$0	$8.5M

Orthoarizona Scottsdale Asc, LLC — Billing Profile & Reimbursement Data

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Orthoarizona Scottsdale Asc, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References